Claims Manager, Denver Health Medical Plan Job at Denver Health
Remote opportunity for residents of Colorado, Illinois, Kentucky, Ohio, Pennsylvania, South Carolina, Texas, Utah, Virginia, Washington, and Wisconsin.
Job Summary
Maintains supervision of the day to day claims processing function for the Denver Health Medical Plan. Trains claims business analysts to ensure accurate processing of claims. Educates regarding subrogation and coordination of benefits. Reviews claims adjudication for timeliness and accuracy of payment. Educates claims business analysts regarding contract terms. Interfaces with other personnel within the Managed Care Division to assist with extraction of accurate claim information for reporting purposes. Interfaces with Managed Care Information Systems regarding system changes and data extraction.
Education
1. Bachelor’s degree required.
Experience
1. Five years of health care claims experience required.
2. Experience in Medicaid, Medicare, and Commercial lines of business preferred.
3. Two years of lead or supervisory experience required.
Job Type: Full-time
Pay: $93,000.00 - $139,600.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Referral program
- Tuition reimbursement
- Vision insurance
Physical setting:
- Office
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Work Location: Remote
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